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道路事故率:改善道路交通安全的策略和计划。

Road accident rates: strategies and programmes for improving road traffic safety.

机构信息

Department of Disaster Medicine, Medical University of Warsaw, ul. Zwirki i Wigury 81 A, 02-091, Warszawa, Poland.

Emergency Medicine Unit, Medical University of Lublin, Lublin, Poland.

出版信息

Eur J Trauma Emerg Surg. 2016 Aug;42(4):433-438. doi: 10.1007/s00068-015-0544-6. Epub 2015 Jul 11.

Abstract

INTRODUCTION

Nowadays, the problem of road accident rates is one of the most important health and social policy issues concerning the countries in all continents. Each year, nearly 1.3 million people worldwide lose their life on roads, and 20-50 million sustain severe injuries, the majority of which require long-term treatment.

DISCUSSION

The objective of the study was to identify the most frequent, constantly occurring causes of road accidents, as well as outline actions constituting a basis for the strategies and programmes aiming at improving traffic safety on local and global levels. Comparative analysis of literature concerning road safety was performed, confirming that although road accidents had a varied and frequently complex background, their causes have changed only to a small degree over the years. The causes include: lack of control and enforcement concerning implementation of traffic regulation (primarily driving at excessive speed, driving under the influence of alcohol, and not respecting the rights of other road users (mainly pedestrians and cyclists), lack of appropriate infrastructure and unroadworthy vehicles.

CONCLUSIONS

The number of fatal accidents and severe injuries, resulting from road accidents, may be reduced through applying an integrated approach to safety on roads. The strategies and programmes for improving road traffic should include the following measures: reducing the risk of exposure to an accident, prevention of accidents, reduction in bodily injuries sustained in accidents, and reduction of the effects of injuries by improvement of post-accident medical care.

摘要

引言

如今,道路交通事故率问题是涉及各大洲国家的最重要的健康和社会政策问题之一。每年,全球近 130 万人死于道路交通事故,2000 万至 5000 万人遭受重伤,其中大多数需要长期治疗。

讨论

本研究的目的是确定道路交通事故最常见、持续发生的原因,并概述构成旨在改善地方和全球交通安全性的策略和计划基础的行动。对道路安全相关文献进行了比较分析,证实尽管道路交通事故的背景多种多样且往往很复杂,但多年来其原因仅略有变化。这些原因包括:缺乏对交通规则实施的控制和执行(主要是超速行驶、酒后驾驶以及不尊重其他道路使用者的权利(主要是行人和骑自行车的人),缺乏适当的基础设施和不合格的车辆。

结论

通过采取综合的道路安全方法,可以减少道路交通事故造成的死亡事故和重伤人数。改善道路交通的战略和计划应包括以下措施:降低事故暴露风险、预防事故、减少事故中身体伤害、以及通过改善事故后医疗来降低伤害影响。

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